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1Dr. Appel is Associate Professor of Psychiatry and Medical Education, Director of Ethics Education in Psychiatry, and Assistant Director, Academy for Medicine & the Humanities, Icahn School of Medicine at Mount Sinai, New York, NY. jacobmappel@gmail.com jacob.appel@mssm.edu.
Physicians face challenges updating decisional capacity assessment criteria due to state laws. Legislative changes are needed to modify the widely accepted four skills model in clinical practice.
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